Volunteer Form - NCSR

Volunteer Form

NCSR Volunteer Application:Northern Chesapeake Sheltie Rescue is a non-profit organization dedicated to the rescue and care of Shetland Sheepdogs in need of a permanent, loving home. We are staffed entirely by volunteers who give their time and effort to providing a better life for dogs who need our help. If you would like to share in this effort, please fill out this form and submit it. We will contact you shortly regarding the activities in which you have expressed an interest.

Name:*

Address:*

City:*

State:*

ZIp:*

Home Phone:*

Work Phone:

Email Address:

Occupation

How did you hear about us:

How many hours are you available per week for rescue activities?

Have you volunteered in the past for any other rescue groups or animal control agencies? Yes No

If Yes, give the name of the group or agency and describe your role:

Please describe any experience or skills related to rescue:

Please give any other information that you feel is relevant to your desire to work in dog rescue:

Please fill out any areas of volunteer work that you think you would be interested in.

Fund Raising: As a Non-profit organization, all of our income is derived from donations. We hold many fund raisers during the year and volunteers are needed to work these events. This would require you to travel to the location where the event is being held, work the hours you have signed up for, and help with setting up and clean-up afterward. This also requires direct interaction with the public and the ability to promote our rescue group. Yes No

Reference Calls: All prospective adopters must provide three personal references and a vet reference. Volunteers are needed to call and check out these references and report back to the group. Some of these calls take time and may incur phone charges. Yes No

Transporting Dogs: Some dogs adopted through our organization will need to be transported to a foster home. This will require travel to/from the transport locations, which can possibly incur gas and toll costs. It also requires putting a strange dog in your vehicle, so a crate or confined area is recommended. Sometimes the dog will experience motion sickness or other events that could make a mess in your vehicle. Yes No

Fostering: Often, dogs in imminent danger need to be pulled from shelters or abusive situations before an appropriate adopter can be found. When this happens, we rely on volunteers to provide a temporary home for these dogs. In order to become a foster home, please continue with the foster application portion of this form. If you do not want to apply to be a foster home, press the NO button, then please scroll to the end of the foster volunteer section and continue with the rest of the volunteer application. Yes No

References: Name, Phone Number and Relationship:

Do you own or rent your residence? If you rent, you MUST submit written permission from your landlord stating that you are allowed to have a dog. Own Rent

Do you currently have homeowner's or renter's liability insurance? If yes, please provide a copy of your insurance policy. Yes No

How many people live in your household?

Do you have children that live at home? Yes No

If so, please list their ages:

Do you have any other pets? Yes No

If yes, list types of pets and how long you have had them.

If you own pets, please provide the name and telephone number of your current veterinarian?

Do your current pets have any issues with other dogs entering the household? Yes No

If yes, please explain:

Do you have a fenced yard? Yes No

If yes, please describe type of fence and approximate size of yard.

If no, how do you plan to provide exercise for the dog?

Do you own a crate? Yes No

If yes, please describe type and size of crate.

Do you have an area in your home where a foster dog could be secluded in the event that there is a problem with other pets or family members? Yes No

If yes, please describe area.

How many hours per day would the dog be left alone? 0-2 3-5 6-8

Do you understand that dogs may be unpredictable and that Northern Chesapeake Sheltie Rescue cannot guarantee that a dog we place with you may not become aggressive? Yes No

Are you willing to assume the risks associated with working with animals who are sometimes frightened and who, in unfamiliar surroundings, may become aggressive and/or bite you or a companion? Yes No

What type of vehicle do you have for transporting dogs?

Are you willing to accept the risks involved, including damage, with transporting a dog inside your vehicle? Yes No

Are you willing to accept the risks involved, including damage, with having a foster dog in your home? Yes No

End of Foster Volunteer questionnaire section, Please continue with the rest of the application.

Agreement Conditions: PLEASE READ THE FOLLOWING CAREFULLY AND FULLY BEFORE SIGNING:I agree

I understand that my electronically-generated signature below is valid as a means of legal signature for the purpose of this volunteer application. Yes